IndividualActive
Anthony Ishmael
NPI 1629936968 · Personal Care Attendant · Martinez, GA
Provider details
- NPI number
- 1629936968
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PHCP043829 (GA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3504 Professional Cir Ste B
Martinez, GA 30907-8236
Phone: (706) 945-1064
Fax: (706) 305-1728
Approximate (ZIP-level) locationGet directions
Mailing address
3504 Professional Cir Ste B
Martinez, GA 30907-8236
Registry dates
- Enumerated
- 2026-01-14
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.